1 Bettina H. Riley, PhD, RN, University of South Alabama, Fairhope, AL, USA.
2 Ryon C. McDermott, PhD, University of South Alabama, Mobile, AL, USA.
J Am Psychiatr Nurses Assoc. 2018 Nov/Dec;24(6):482-494. doi: 10.1177/1078390318776369. Epub 2018 May 28.
National health priorities identify adolescent sexual-risk behavior outcomes as research and intervention targets for mental health.
Reduce sexual-risk behavioral outcomes by applying self-determination theory to focus on decision-making autonomy. This study examined late adolescents' recollections of parental autonomy support/sexual-risk communication experiences and autonomy motivation as predictors of sexual-risk behaviors/knowledge.
A convenience sample ( N = 249) of 19- and 20-year-old university students completed self-report questionnaires. Structural equation modeling with latent variables examined direct/indirect effects in the hypothesized model.
Parents contributed uniquely through sexual-risk communication and/or autonomy support to late adolescents' autonomous motivation. The final model evidenced acceptable fit and explained 12% of the variation in adolescent sexual-risk behavior, 7% in adolescent autonomous motivation, and 2% in adolescent sexual-risk knowledge.
Psychiatric mental health nurses should conduct further research and design interventions promoting parent autonomy support and adolescent autonomous motivation to reduce sexual risk-behavior and increase sexual-risk knowledge.
国家卫生重点确定青少年性行为风险行为结果为心理健康的研究和干预目标。
通过应用自我决定理论来关注决策自主性，从而减少性行为风险。本研究考察了青少年对父母自主性支持/性行为风险沟通经历和自主性动机的回忆，作为性行为风险行为/知识的预测因素。
对 19 至 20 岁的大学生进行了便利样本（n=249）的问卷调查。使用潜在变量的结构方程模型检验了假设模型中的直接/间接效应。
父母通过性行为风险沟通和/或自主性支持，对青少年的自主性动机产生了独特的影响。最终模型拟合度良好，解释了青少年性行为风险的 12%、青少年自主性动机的 7%和青少年性行为风险知识的 2%。
精神科心理健康护士应进行进一步的研究和设计干预措施，促进父母的自主性支持和青少年的自主性动机，以减少性行为风险和增加性行为风险知识。
